HomeMy WebLinkAbout10-3858Form 668 (Y)(c)
(Rev. February 2004)
1
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien jq0 jo. 3 ?S FT-
1-Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 0 -'D
Lien Unit Phone: (800) 913-6050 663623210 o
As provided by section 6321, 6322, and 6323 of the Internal Revenue 17'.
Code, we are giving a notice that taxes (including interest and penalties) -m
have been assessed against the forowing-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien In favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and ! -:
additional penalties, Interest, and costs that may accrue. n
Name of Taxpayer ROBIN PRIFER
CREATIVE LOOKS STYLING SALON
Residence 3808 GETTYSBURG RD
CAMP HILL, PA 17011-6808 If. 06
/OS 3
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall, RI?1
J b
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on the day following such date, operate as a certificate of release as defined J
-
in IRC 6325(a).
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refs of Assessment
(a) b (c d) e) (f)
941 09/30/2008 25-1777232 04/19/2010 05/19/2020 4137.31
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 4137.31
This notice was prepared and signed at
the 04th day of June
DETROIT, MI
2010
, on this,
Signature R Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466,1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office CAT. 668(l (Rev. 2 20041
CAT. NO 60025X